Behavioral Health Initiatives

​​​​​​​​​​​​​​​The Behavioral Health Policy Team is comprised of subject matter experts for behavioral health service​s who provide policy guidance for the provider types and regulations listed below.

​​

​​Contact the Behavioral Health Policy Team- DMS Issues

Pilots, Grants, and Demonstrations

Kentucky Medicaid supports the expansion of behavioral health services and the Behavioral Health Policy Team oversees a variety of pilots, grants​ and demonstrations designed to increase access and quality of care for Kentuckians.

TEAMKY 1115 Demonstration

Status: Currently approved through Sept. 30, 2024, with an extension request pending.
 
Kentucky’s Section 1115 Demonstration was initially approved January 2018.  Kentucky received a temporary extension of “TEAMKY” (formerly known as Kentucky Helping to Engage and Achieve Long Term Health (KY HEALTH) through Sept. 30, 2024. TEAMKY allows KY to test and develop innovative programs utilizing evidence-based interventions that drive better health outcomes and quality of life for beneficiaries and currently includes the following components: Substance Use Disorder (SUD) 1115, Reentry 1115, and Medicaid eligibility coverage for former foster care youth between 18 and 26 years of age who were foster care in another state.  

Components of TEAMKY currently pending approval includes: Serious Mental Illness (SMI) 1115, a Recuperative Care Pilot and coverage of Recovery Residence Support Services. 

​​Jump to TEAMKY 1115 Demonstration Webpage

1915(i) State Plan Amendment 

To meet the needs of Kentucky citizens living with serious mental illness (SMI) or substance use disorder (SUD) and address the priorities included in Senate Joint Resolution (SJR) 72, Kentucky Medicaid and the Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) developed a 1915(i) State Plan Amendment (SPA) called the 1915(i) Recovery, Independence, Support, and Engagement (RISE) Initiative. The Centers for Medicare and Medicaid Services (CMS) approved 1915(i) RISE in March 2025, and it is effective July 1, 2025. Information about 1915(i) RISE is available in the 1915(i) RISE application and proposed Kentucky Administrative Regulations. Providers interested in delivering 1915(i) RISE services should email DBHDID

For additional information about 1915(i) RISE, contact DBHDID​.​​

Multisystemic Therapy Pilot

Kentucky Medicaid has extended the original Multisystemic Therapy Pilot Project through July 2026. MST is an evidence-based, intensive treatment process that focuses on diagnosed behavioral health disorders and environmental systems (family, school, peer groups, culture, neighborhood and community) that contribute to or influence an individual’s involvement or potential involvement in the juvenile justice system. MST uses family strengths to promote positive coping activities and works with caregivers to reinforce positive behaviors, reduce negative behavior and increase family accountability and problem-solving. Kentucky Medicaid, the Department for Community Based Services (DCBS), and the Department of Juvenile Justice (DJJ) partner with three pilot providers licensed by the MST Institute to deliver this intensive service:
  • Home of the Innocents
  • CHNK Behavioral Health
  • KVC Kentucky
​Myers and Stauffer are engaged to independently evaluate the MST pilot project to inform future plans for this service within Kentucky Medicaid. 

Contact Sherri Staley​, MST project manager.

Certified Community Behavioral Health Clinic (CCBHC) Demonstration

​A Certified Community Behavioral Health Clinic (CCBHC) is a specially-designated clinic that provides a comprehensive range of mental health and substance use services. CCBHCs serve anyone who walks through the door, regardless of their diagnosis and insurance status.

CCBHCs are nonprofit organizations or units of a local government behavioral health authority. They must provide nine types of services, either directly or by contracting with partner organizations, with an emphasis on providing 24-hour crisis care, evidence-based practices, care coordination with local primary care and hospital partners, and integration with physical health care.
CCBHCs receive an enhanced Medicaid reimbursement rate based on their anticipated costs of expanding services to meet the needs of vulnerable populations.

The CCBHC demonstration is authorized through Section 223 of the Protecting Access to Medicare Act of 2014 (PAMA), which established the CCBHC model and outlines the creation of a demonstration program to implement CCBHCs and assess their effectiveness. In 2015, Kentucky was awarded a CCBHC Planning Grant, and in August 2020, was selected to participate in the CCBHC demonstration. Kentucky’s CCBHC Demonstration began January 1, 2022,​ and currently ends December 31, 2027.

Jump to KY CCBHC Demonstration Webpage​

Jump to Sections on Page:

Provider Assistance with the Behavioral Health Prior Authorization process per MCO:

Aetna: 
  • Aetna’s plan will be posted on their provider website: Provider Notices & Newsletters | Aetna Medicaid Kentucky 
  • Training & Support
    • ​​To support our providers through this process, ABHKY will host provider training opportunities during Virtual Office Hours (VOH), on the prior authorization process both before and after the June 25, 2025, effective date. 
    • Virtual Office Hours Schedule:
      • ​June 4, 2025, 10:00 am EST 
      • June 11, 2025, 10:00 am EST 
      • June 18, 2025, 10:00 am EST
      • June 25, 2025, 10:00 am EST
      • July 2, 2025, 10:00 am EST
      • July 9, 2025, 10:00 am EST
      • July 16, 2025, 10:00 am EST
      • July 23, 2025, 10:00 am EST 
Humana: 
  • ​May 20, 2025, 11:00 am to 12:00 pm EST or 1:00 pm to 2:00 pm
  • May 29, 2025, 2:00 pm to 3:00 pm EST 
  • Please register for your desired session here and watch for your invitation with the Zoom link. If you have questions about this notification, email Provider Relations at KYMCDPR@humana.com 
Passport by Molina: 
United Healthcare: 
Wellcare: 
  • Wellcare invites providers to join the bi-weekly provider webinar every Friday at 1:00 pm EST hosted by their Provider Engagement team. These are one hour meetings where they discuss current key topics, such as utilization management, and other topics requested by providers. To receive an invite to the webinar series, please send an email to Johnie Akers (Provider Engagement) at johnie.akers@wellcare.com​
Announcement​​s

Grant​ funding is available to support the implementation of a Community Crisis Co-Response (CCCR) Program. The CCCR Model embe​ds behavioral health professionals or parapr​ofessionals as co-responders within a municipality.  Stakeholder interviews with co-response teams were recently conducted. Read the full report here. 

Additional Information